Haemophilus influenzae type b (Hib) vaccine, 3-dose series at St. David's Georgetown Hospital

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HIB VAC PRP-OMP 3DOSE IM

Georgetown, TX

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Pricing by billing methodology

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How this price compares nationally

St. David's Georgetown Hospital’s median price of $491 is 820% above the median hospital's median price ($53), higher than 99% of the 1,506 hospitals reporting CPT 90647. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 90647 at St. David's Georgetown Hospital

Negotiated rates from the hospital’s own file: 6 payers, 24 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Blue Cross Blue Shield blueadvantage fee schedule · outpatient	$42	$42	—	—	—	$42 – $42
2	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$42	$42	—	—	—	$42 – $42
3	UnitedHealthcare narrownetworkhix fee schedule · outpatient	$46	$46	—	—	—	$46 – $46
4	UnitedHealthcare allpayerappendix fee schedule · outpatient	$62	$62	—	—	—	$62 – $62
5	UnitedHealthcare smallgroup fee schedule · outpatient	$62	$62	—	—	—	$62 – $62
6	Blue Cross Blue Shield blueessentials fee schedule · outpatient	$66	$66	—	—	—	$66 – $66
7	Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient	$66	$66	—	—	—	$66 – $66
8	Blue Cross Blue Shield eposoa fee schedule · outpatient	$71	$71	—	—	—	$71 – $71
9	Blue Cross Blue Shield ppo fee schedule · outpatient	$76	$76	—	—	—	$76 – $76
10	Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges	$88	$88	—	—	—	$88 – $88
11	Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges	$88	$88	—	—	—	$88 – $88
12	Superior Healthplan star percent of total billed charges · outpatientfrom % of charges	$88	$88	—	—	—	$88 – $88
13	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$88	$88	—	—	—	$88 – $88
14	Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges	$300	$300	—	—	—	$300 – $300
15	Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges	$300	$300	—	—	—	$300 – $300
16	Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges	$300	$300	—	—	—	$300 – $300
17	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$440	$440	—	—	—	$440 – $440
18	Humana hmo percent of total billed charges · outpatientfrom % of charges	$491	$491	—	—	—	$491 – $491
19	Humana ppo percent of total billed charges · outpatientfrom % of charges	$491	$491	—	—	—	$491 – $491
20	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$563	$563	—	—	—	$563 – $563
21	UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges	$795	$795	—	—	—	$795 – $795
22	First Health ppo percent of total billed charges · outpatientfrom % of charges	$1.2k	$1.1k	$97	8%	—	$1.0k – $1.2k
23	MultiPlan phcsprimarynetwork percent of total billed charges · outpatientfrom % of charges	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
24	MultiPlan complementarynetwork percent of total billed charges · outpatientfrom % of charges	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k

Last updated: Sep 1, 2026

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